Prototheca wickerhamii

Source: Wikipedia, the free encyclopedia.

Prototheca wickerhamii
Scientific classification Edit this classification
(unranked): Viridiplantae
Division: Chlorophyta
Class: Trebouxiophyceae
Order: Chlorellales
Family: Chlorellaceae
Genus: Prototheca
Species:
P. wickerhamii
Binomial name
Prototheca wickerhamii
K.Tubaki & M.Soneda

Prototheca wickerhamii is a ubiquitous

green alga that does not have chlorophyll. It is widely present in the environment but is a rare cause of opportunistic infection in humans (protothecosis
).

Biology

P. wickerhamii has a round to elliptical cell shape measuring 3–11 µm in diameter. The organism has thick wall (theca) with internal septations that form the small wedge-shaped endospores, which are arranged radially and moulded (morula-like form).[1] Reproduction is asexual by release of the spores from the sporangia, which can occur every 5–6 hours in ideal conditions.[2]

P. wickerhamii can be found ubiquitously in the environment as

Sabouraud dextrose agar
.

Infection

P. wickerhamii can cause opportunistic infections, commonly in individuals with a suppressed immune system due to disease or medication. It is the primary cause of protothecosis in humans. Infection usually results by direct traumatic inoculation[1][full citation needed] and most commonly presents as nodules of the skin.[3]

Diagnosis can be made through culture of diseased tissue in

hematoxylin
/eosin, GMS, or PAS histochemical stains). The organism incites a chronic granulomatous inflammation with infiltrate of histiocytes, lymphocytes, giant cells and occasional eosinophils.

Differential diagnosis: Protothecal sporangia may be confused with Coccidioides immitis, which are much larger

Antimicrobial therapy

There is currently no standardized for infection with P. wickerhamii. Positive results of treatment with Voriconazole[4] have been reported as well as with amphotericin B.[5] Strains have also showed susceptibility to further azole compounds such as itraconazole and posaconazole.[3]

References

  1. ^ a b John R. Goldblum (ed.). Foundations in diagnostic pathology. {{cite book}}: Missing or empty |title= (help)
  2. ^ Lass-Flörl C, Mayr A. Human protothecosis. Clin Microbiol Rev. 2007 Apr;20(2):230-42. Review. PMID 17428884
  3. ^
    PMID 19292636
    .
  4. .
  5. .